SPINAL TUMORS EXTRADURAL EPIDURA ANDSPINE INTRADURAL EXTRAMEDULLARY INTRADURAL INTRAMEDULLARY

TUMORS OF EXTRADURAL SPACE &SPINE BENIGN A: NEUROFIBROMA B:MENINGIOMA MALIGNANT A:METASTASIS B:MALIGNANT TUMORS OF OSSEOUS ORIGIN C:CHORDOMA D:PLASMA CELL TUMORS E:EOSINOPHILIC GRANULOMAS

INTRADURAL EXTRAMEDULLARY TUMORS&TUMORS OF CAUDA EQUINA 1:Neurofibroma 2:meningioma 3:Paraganglionma of cauda equina 4:Ependymoma of filum terminale 5:Epidermoid,dermoid,teratoma, lipoma 6:Granulomatous lesions(Tuberculoma,sarcoid etc

INTRAMEDULLARY TUMORS 1:Ependymoma 2:Astrocytoma 3:Hemangioblastoma 4:Epedermoid,dermoid,teratoma,lipoma 5:Cavernoma 6:Intramedullary abcesses,tuberculoma,sarcoidosis,parasitic cyst 7:Metastasis from medulloblastoma and ependymoma of 4 th ventricle

SYMPTOMATOLOGY OF TUMORS OF THE SPINE AND THE SPINAL CORD PAIN a.FOCAL b.REFERRED c.RADICULAR d.LHERMITTE PHENOMENON MOTOR SYMPTOMS a.SINGLE ROOT INVOLVEMENT b.TRANSVERSE MYELOPATHY c.CENTRAL AND HEMICORD SYNDROME AUTONOMIC a.HORNERS SYNDROME,SPHINTOR DISTURBANCE SYSTEMIC CHANGES HYPERTENSIVE EPISODES IN PARAGANGLIONOMA, POLYCYTHEMIA IN HEMANGIOBLASTOMA

RADIOLOGICAL DIAGNOISIS 1:Plain X-rays 2:MRI 3:CT SCAN 4:Mylegraphy 5:Spinal Angiography 6:Bone scan

PRINCIPLES OF SURGERY 1:Counseling 2:Preliminary investigations 3:Stop all antiplatelet drugs I wk before operation 4:General anaesthesia 5:Operating Microscope 6:Tumor excision devices(Ultrasonic aspirator CUSA,Bipolar diathermy 7:Embolization 8:Spinal stabilization procedures 9:Intensive care and post operative physiotherapy